Healthcare Provider Details

I. General information

NPI: 1801715677
Provider Name (Legal Business Name): JANE CAROLINE N KANYEKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35810 16TH AVE S APT D301
FEDERAL WAY WA
98003-7472
US

IV. Provider business mailing address

35810 16TH AVE S APT D301
FEDERAL WAY WA
98003-7472
US

V. Phone/Fax

Practice location:
  • Phone: 206-468-7901
  • Fax:
Mailing address:
  • Phone: 206-468-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: